Displaying 130881-130890 of 1611142 results.
ID:
130881
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130882
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130883
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130884
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130885
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130886
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130887
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130888
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130889
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130890
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2361313
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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